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Vol. 12: Fall, 1995

Teratogen Update

TABLE 2: Known Human Teratogens

Medications
Thalidomide Limb reduction defects, ear anomalies
Diethylstilbestrol Vaginal adenosis/adenocarcinoma
Cervical erosion and ridges
Warfarin Nasal hypoplasia, stippled epiphyses, CNS defects
Hydantoin Dysmorphic facial features, hypoplastic nails,
growth and developmental retardation
Trimethadione Developmental retardation, dysmorphic facial features
Aminopterin and methotrexate Pregnancy loss, hydrocephalus, low birth weight,
dysmorphic facial features
Streptomycin Hearing loss
Tetracycline Stained teeth, enamel hypoplasia
Valproic Acid Neural tube defects, dysmorphic facial features
Isotretinoin Pregnancy loss, hydrocephalus, other CNS defects,
small or absent thymus, microtia/anotia,
conotruncal heart defects
Antithyroid drugs Hypothyroidism, goiter
Androgens and high doses
of nor-progesterones
Masculinization of external female genitalia
Penicillamine Cutis laxa
ACE Inhibitors Renal dysgenesis, oligohydramnios sequence, skull ossification defects
Carbamazepine Neural tube defects
Cocaine Pregnancy loss, placental abruption, growth retardation, microcephaly
Lithium Ebstein anomaly
Maternal Infections
Toxoplasmosis Hydrocephalus, blindness, mental retardation
Varicella Skin scarring, limb reduction defects, muscle atrophy,
mental retardation
Venezuelan Equine Encephalitis CNS damage, cataracts, pregnancy loss
Syphilis Abnormal teeth and bones, mental retardation
Cytomegalovirus Growth and developmental retardation, microcephaly,
hearing loss, occular abnormalities
Herpes (Primary) Pregnancy loss, growth retardation, eye abnormalities
Herpes (Active) Vertical transmission at delivery
Chemicals
Methylmercury Cerebral atrophy, spasticity, mental retardation
Lead Pregnancy loss, CNS damage
Polychlorobiphenyls
(PCBs - ingested)
Low birth weight, skin discoloration
Maternal Disorders
Insulin Dependent Diabetes Mellitus Congenital heart defects, caudal deficiency,
neural tube defects, limb defects, holoprosencephaly,
pregnancy loss
Hypo/Hyperthyroidism Goiter, growth and developmental retardation
Phenylketonuria Pregnancy loss, microcephaly, mental retardation,
facial dysmorphism, congenital heart defects
Hypertension Intrauterine growth retardation
Autoimmune Disorders Congenital heart block, pregnancy loss
Reproductive Toxins
Cigarette Smoking Pregnancy loss, low birth weight
Hyperthermia Neural tube defects
Chronic Alcoholism Growth and developmental retardation, microcephaly,
craniofacial dysmorphism
Therapeutic Radiation Growth and developmental retardation, microcephaly

The Genetic Drift Newsletter is not copyrighted. Readers are free to duplicate all or parts of its contents. The Genetic Drift Newsletter is published semiannually by the Mountain States Genetics Network for associates & those interested in Human Genetics. In accordance with accepted publication standards, we request acknowledgement in print of any article reproduced in another publication. The views expressed in the newsletter do not necessarily reflect local, state, or federal policy. For additional information, contact Carol Clericuzio, M.D., Editor, Department of Pediatrics, The University of New Mexico, Albuquerque, NM, 87131

Table Of Contents: Teratogen Update
Introduction
Medications
Substances of Abuse
Maternal Infections
Maternal Disorders
Mutagens
Etiology of Congenital Malformations in Humans: (Table 1)
Known Human Teratogens: (Table 2)
References
Facts About Neural Tube Defects and Folic Acid


 

Bob McCurdy